#TalkAboutLove: Teen Dating Violence Awareness and Prevention Month 2014

Name: *

Organization:

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

My organization will promote the theme of youth and adults talking together about healthy relationships during TDVAPM 2014

I will participate in #TalkAboutLove conversations about healthy relationships in my community during the week of February 10-14, 2014

I will promote #TalkAboutLove conversations about healthy relationships via my social media

My organization will promote #TalkAboutLove conversations about healthy relationships via our organization's social media

Thank you for your responses! Visit www.cpedv.org/tdvapm for more information about TDVAPM 2014 in California.